INTEGRATIVE REVIEW STUDY: FACTORS RELATED TO METABOLIC SYNDROME IN THE ELDERLY
Introduction: Metabolic Syndrome (MS) is a set of pathological and physiological changes, defined by pre-established parameters, such as dyslipidemia, central adiposity, arterial hypertension and diabetes. Objective: To identify the scientific production of associated cardiovascular risk factors in elderly patients with MS. Methodology: This is an integrative review of the literature obtained by searching scientific articles in the LILACS, MEDLINE, SCIELO and BDENF databases, by crossing the descriptors Metabolic X Syndrome, Aged and Risk Factors. Inclusion criteria were articles that had a summary available online, published in the period from 2013 to 2017, focusing on the proposed theme. Review articles, books, book chapters, opinion articles, editorials, dissertations, theses, programs and government reports were excluded, and 8 articles were selected. Results: The findings showed that the regular practice of physical activity associated with a diet rich in fruits, vegetables and whole grains contributes to the metabolic syndrome control. In addition to other important factors such as the diagnostic criteria that may vary according to the severity of MS. The criteria were established from some associations that work with the theme such as: National Cholesterol Education Program/Adults Treatment Panel – NCEP – ATP III (ATPIII) and International Diabetes Federtion (IDF), the first most used because it is not necessary to evaluate insulin resistance, thus making it more viable for the development of research. Conclusion: The study showed that there is a lack of knowledge regarding MS, since there are few organs that treat and study this problem, thus reflecting on the search for research on this topic, because the subject is little discussed, especially in the elderly.
SYSTEMATIZATION OF NURSING ASSISTANCE TO PATIENTS WITH DIABETES MELLITUS TYPE 2: EXPERIENCE REPORT
Introduction Type 2 Diabetes Mellitus (DM2) is the form found in 90 to 95% of diabetes cases characterized by defects in the action and secretion of insulin and in the regulation of hepatic glucose production. Insulin resistance and functional defect of beta cells appear early in the preclinical phase of the disease. Obesity is the main risk factor for triggering this pathology, considering that, in these cases, insulin resistance is usually the consequence. From this perspective, Systematization of Nursing Assistance (SNA) is essential for the care of patients with a diagnosis of DM2, as it ensures the promotion of systematic and continuous assistance, thus constituting a basis for selection for care interventions. Objective To analyze the importance of Systematization of Nursing Assistance in health promotion for patients with Diabetes Mellitus Type 2. Methodology Descriptive study of the experience report type, conducted from the academic experience in supervised curricular internship, from the Adult and Elderly Health discipline in Primary Care, with home visits together with the Family Health Strategy Team in municipality of Recife – PE, in June 2019. Results With the practice of care planning from SNA, in DM2, it was possible to reach the following Nursing Process implementations: NANDA: Impaired skin integrity related to injury in the left lower limb evidenced by pain and loss of skin continuity after debridement. Nursing Outcomes Classification (NOC): Will have wound healing in a timely manner without complications. Nursing Interventions Classification (NIC): Check for general weakness associated with chronic disease. NANDA – Risk of falls related to visual impairment and difficulty walking. NOC – Verbalizes that understands the personal risk factors that contribute to the risk of falling. NIC – Assess the general health status of the individual, paying attention to factors that may compromise safety, including chronic disorders. Conclusions/Considerations: In this context,…
VULNERABILITY FOR SELF-ADVOCATED VIOLENCE IN THIRD AGE: RISK FACTORS AGAINST LACK OF PROSPECTION
Introduction: Population aging is a phenomenon that occurs on a global scale in developed countries. This process is characterized by a constant increase in life expectancy ². Objectives: To analyze in the current literature aspects related to vulnerability to self-harm in the elderly, based on the sociodemographic profile and the relationship of psychic factors in order to point out effective means of prevention and prevention. Methodology: This is an integrative literature review through the materials indexed in the Virtual Health Library Databases: LILACS, MEDLINE and BDENF, and the descriptors: Suicide, Elderly, Population aging. Finding 52 articles, of which only selected 10. Being LILACS (07), MEDLINE (02) and BDENF (01), respective percentages: 70%, 20%, 10%. Considering inclusion criteria: full text, publications from 2014 to 2019, Portuguese language and meeting the research theme. Results: Regarding the profile of the victims; most of them are male, aged between 60 – 70 years old, brown in color, poorly educated and economically inactive, retirees or pensioners ³. Conclusion: The mobilization of people on the subject, including actions in education and health, prevention of reductions through harm reduction, along with approaches through social media that has had a positive impact on the decline of suicide cases in Brazil. It is important to break the taboos that permeate this theme. However, the result is the need for actions aimed at reaching the population in question aiming to outline intervention plans in crisis, including.
Predicting the Time Required to Pass Congested Road Based on Neural Network Algorithm
In order to predict the duration of traffic congestion, this paper established a traffic congestion evaluation model based on cumulative ratio Logistic regression and a traffic congestion time prediction model based on BP neural network. Combining Pearson test, numerical combination, standard deviation method and other methods to solve the problem. Based on the measured data of Jinshui Road in Zhengzhou, the average error is 0.019m/ s and the prediction error rate is 0.15%, both within a reasonable range. The model can improve the accuracy of congestion time prediction and provide some help to real life.
A Mathematical Model for Analyzing the Impact of the Ban on Foreign Garbage in China
Focusing on the issue of the ban on foreign garbage, this paper analyzes the impact of the ban on China from both qualitative and quantitative perspectives. By collecting before and after the trash ban of China, China’s imports of scrap metal, waste paper, waste plastics data and related producer price index. it is concluded by granger causality test model that under the 5% confidence interval, the waste imports less, the higher the related product producer price index; Secondly, based on nemero pollution evaluation model, this paper finds that the nemero score of water quality in China has decreased by 0.026 and the water quality has improved to some extent. The two models established in this paper are of great significance for analyzing the impact of the ban on foreign garbage on China and specifying corresponding measures.
An increasing trend of iatrogenic scar endometriosis after lower segment cesarean section
Cesarean scar endometriosis is an uncommon disorder developed due to iatrogenic implantation of endometrial tissues in the cesarean incision site. The frequency of the scar endometriosis is assumed to increase because of the increasing trend of lower segment cesarean section in modern obstetric practice. Cesarean section might be a great risk factor for the development of scar endometriosis due to higher exposure of endometrial cells to the subcutaneous tissue during the procedure. Prevention of decidual cell contamination to the superficial abdominal layers may reduce the occurrence of iatrogenic scar endometriosis. We reported a 21-year old para 2 woman with a history of cesarean section 2.5 years back who presented with a small mass at the middle of the cesarean scar which was associated with pain and blood-stained discharge during menstruation. Based on clinical and USG findings the provisional diagnosis was made scar endometriosis and subsequently we managed her by wide local excision of the lesion followed by adjuvant hormone therapy. No recurrence of scar endometriosis was observed during her follow up period.
Psychiatry and Diet
The review article explains that the Food habits are uses self-treatment of different psychiatric disorders. It is reported that Diet are used in treating a broad range of mental health disorders including anxiety, stress, depression, obsessive-compulsive, affective, bipolar maniac-depressive, psychotic, phobic and somatoform disorders etc…
Experimental Study on the Performance of on-site Mixed Emulsion Explosives and Rock Impedance Matching
The proportion of on-site mixed emulsion explosives in mining is getting higher and higher, in order to better use the explosive performance of mixed explosives to improve energy utilization. Based on the wave impedance theory, the wave impedance of mixed explosives is changed to make rocks The wave impedances are matched to achieve the purpose of improving the blasting effect and reducing the bulk rate. After field test, increasing the sensitizer content within a certain range is beneficial to the improvement of explosive performance. When the explosive sensitizer content is 1.15%, the best matching coefficient of mixed explosive and rock impedance is 2.51, the rock after blasting is large. The block rate is reduced and the rock crushing effect is better. After this matching test, it is shown that it is feasible to improve the blasting performance by adjusting the explosive performance of the explosive by the optimal wave impedance coefficient according to the hardness of the rock, which can provide reference for the peers.
INCIDENCE AND SEVERITY OF ANTHRACNOSE (Colletotrichum lindemuthianum) ON SELECTED COMMON BEAN (Phaseolus vulgaris L.) GENOTYPES
Common bean (Phaseolus vulgaris L.), is among the most important legume crop for protein source in peoples’ diet globally and including Kenya. Anthracnose (Colletotrichum lindemuthianum) is a common disease of legumes that causes yield loss of upto 90-100%. Potential production of common beans in Kenya is expected to be above 2000 kg ha-1 but due to challenges of pests and diseases among them anthracnose, it remains below potential yields. The aim of the recent study was to investigate selected common bean genotypes for anthracnose resistance in Kenya. The study was done in three varied agro-ecological zones; Busia, Bungoma and University of Eldoret. Fifteen genotypes were evaluated on field experiment to ascertain anthracnose incidence and severity. Four bean genotypes were used as experimental controls; two resistant and two susceptible controls. Data was collected on incidences and severity and subjected to Analysis of variance in SAS version 9.1. Mean values were separated using Tukeys’ Studentized Range Test. The results revealed tolerant and resistant genotypes with lower incidences and severity than those of resistant controls while susceptible genotypes recorded higher incidences and severity than those of the susceptible controls. Tolerant genotypes were; Ciankui, Tasha, and KK8 while the resistant genotypes were; Miezi mbili, KK15 and Chelalang. Site variation was significant at (P≤0.05) with Busia 82%, Bungoma 76% and University of 53%. KK15, Tasha and Chelalang were tolerant in all sites, and this could be attributed to their genetic resistance. The six genotypes identified to be potentially tolerant and resistant to anthracnose and high yielding could be further studied and used in breeding programs for development of resistant lines globally and in Kenya.
Retained Penile Ring: Case Reports
Background: Penile constriction rings have been used to prolong erection with vacuum devices in the treatment of erectile dysfunction. Some have also employed it for recreational purposes with the attendant risks of penile edema, strangulation and necrosis. We present two cases of entrapped phallus by penile rings. Case reports: 16 years old with pain and swelling of the phallus of 12 hours duration. This started after placement of a phallic ring to purportedly prolong erection which he was later unable to remove the ring despite several attempts and developed progressive swelling and pain in the phallus. He was also unable to pass urine. Examination revealed a circumcised phallus that was detumescent but grossly edematous, tender with shiny skin. Initial simple manoeuvres in the casualty proved abortive and ring had to be cut with an orthopaedic instrument. He was subsequently able to void without difficulty or any haematuria. 47 year old Asian male with a 12 hour history of penile pain and swelling following entrapment of a penile ring he had inserted for sexual gratification about 24 hours before presentation. There was a history of haematuria. The removal of the penile ring was achieved with a combination of cold compress squeeze, corporal aspiration and lubrication under general anaesthesia. Conclusion: Successful management of retained penile ring depends on early presentation by the patient to avoid adverse outcomes. It may require instruments not normally found in the urologist armamentarium.